💥Episode 8: Non-Surgical Management of Fibroids

Not every fibroid needs surgery.

For many women, symptoms can be managed effectively without an operation, depending on the size of the fibroid, its location, the severity of symptoms, and future pregnancy plans.

🧠Non-surgical treatment options include:

1. Observation (Watchful Waiting)

🟢 Best for women with:

Small fibroids

No symptoms

Stable fibroid size

Regular follow-up with ultrasound may be all that is needed.

2. Medications to Control Heavy Bleeding

🩸 These do not remove fibroids, but they can help reduce menstrual blood loss and improve quality of life.

Examples include:

Tranexamic acid

Hormonal therapies (in selected patients).

3. Treatment of Anemia

If fibroids cause heavy bleeding, treating iron deficiency is essential.

This may include:

Oral iron

Intravenous iron (when indicated).

4. Hormonal Therapy

Certain hormonal medications may:

Reduce menstrual bleeding

Temporarily shrink fibroids

Improve symptoms before surgery

Their use depends on individual circumstances and fertility plans.

5. Uterine Artery Embolization (UAE)

A minimally invasive procedure that blocks the blood supply to fibroids, causing them to shrink.

It may be suitable for selected women who have completed childbearing.

🧨Key Message

Non-surgical treatment aims to control symptoms not necessarily eliminate the fibroid.

The best treatment depends on your symptoms, age, fertility goals, and the characteristics of the fibroid.

Treatment should always be individualized.

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